@phdthesis{oai:u-ryukyu.repo.nii.ac.jp:02019524, author = {前田, 峰孝}, note = {Althoughincreasingevidencesuggeststhatepicardialadiposetissuevolume(EATV)is associatedwithpost-ablationatrialfibrillation(AF),rangesofEATVpredictiveofpost- ablationrecurrenceofAFremainunclear.Inthisstudy,weevaluated:(1)relationships betweenEATVandcharacteristicsofAF,(2)impactofEATVonrecurrentAFafter radiofrequencyablation;,and(3)cut-offpointforrecurrentAFusingareceiveroperat- ing characteristiccurve.In218consecutivesymptomaticpatientsundergoingwhounder- went ablationforAF(143paroxysmalAF;78persistentAF),theEATVindex(EATVI: EATV/bodysurfacearea,mL/m2) wasmeasuredusing320-rowmultidetectorcomputed tomography.ThehighEATVgroupshowedspecificcardiometabolicderangementsas well asleftatrialdilatationandleftventriculardysfunction.Multivariateregressionanal- ysis showedthattheEATVIwasanindependentpredictorofrecurrentAFaftercatheter ablation.HighEATV(EATVI 85 mL/m2) orEATVIcutoff 116 mL/m2 can predict recurrentAFaftercatheterablation,independentofotherriskfactors.Inconclusion, EATVIwasanindependentpredictorofrecurrentAFaftercatheterablation;ahigh EATVtertileorEATVIcutoffmaybeusefulforpredictionofrecurrentAFaftercatheter ablation.FuturestudiesshoulddeterminetheutilityoftheEATVIintheclinicalsettingof AF ablation.}, school = {琉球大学}, title = {Usefulness of Epicardial Adipose Tissue Volume to Predict Recurrent Artial Fibrillation After Radiofrequency Catheter Ablation} }